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In 2015, Dr. H. Buchwald published an article entitled “Revisional metabolic/bariatric surgery: a moral obligation”. My research work focuses on these procedures as "not to perform revisional surgery is a denial of the precepts of our discipline and an abandonment of the underprivileged population.” Bariatric surgery has to be purposeful. Therapy failure must not lead to denial, but rather prompt an evaluation of alternative therapeutic strategies, including revisional bariatric surgery.
Background: Roux-en-Y gastric bypass is the most common procedure for revisional bariatric surgery. This study is an analysis of revisional gastric bypass operations (rGBP) compared with primary gastric bypass (pGBP) performed in Sweden between 2007 and 2016. Objective: The aim was to compare the incidence of adverse events in primary and revisi...
Background The issue of mesh fixation in endoscopic inguinal hernia repair is frequently debated and still no conclusive data exist on differences between methods regarding long-term outcome and postoperative complications. The quantity of trials and the simultaneous lack of high-quality evidence raise the question how future trials should be plann...
Background: In Sweden, Roux-en-Y gastric bypass is the most common procedure when revising a previous bariatric procedure. This study is an analysis of all revisional gastric bypass operations (rGBP) compared with a matched group of primary gastric bypass (pGBP) operated between 2007 and 2012. Objective: The aim was to determine whether improvem...
Background and aims: Unsatisfactory weight loss after gastric bypass or sleeve gastrectomy in super-obese patients (body mass index > 50) is a growing concern. Biliopancreatic diversion with duodenal switch results in greater weight loss, but is technically challenging to perform, especially as a laparoscopic procedure (Lap-DS). The aim of this st...
Implantation of a gastric stimulator is a feasible surgical therapy for patients with therapy refractory gastroparesis. In addition it seems to be a promising alternative for treating morbid obesity. We present for the first time the surgical emergency of small bowel obstruction due to strangulation by gastric stimulator electrodes. A 59-year-old C...